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  By: Miles S.B. No. 1692
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the provision of home dialysis care by a dialysis
  technician.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter C, Chapter 251, Health and Safety
  Code, is amended by adding Section 251.033 to read as follows:
         Sec. 251.033.  PROVISION OF HOME DIALYSIS CARE. (a) A
  dialysis technician may provide home dialysis care, including
  hemodialysis, only if:
               (1)  the care is provided under the direct supervision
  of a registered nurse who is employed by the same entity that
  employs the dialysis technician; and
               (2)  the dialysis technician has:
                     (A)  complied with all executive commissioner
  rules on training and competency for dialysis technicians; and
                     (B)  successfully completed orientation and
  skills education requirements equivalent to the requirements for a
  registered or licensed vocational nurse who provides home dialysis
  care.
         (b)  For purposes of this section, "direct supervision"
  means supervision by a registered nurse who is physically present
  on the premises, but not necessarily present in the room where the
  dialysis services are provided, at which a dialysis technician
  provides home dialysis care and is immediately available to respond
  to patient needs.
         SECTION 2.  As soon as practicable after the effective date
  of this Act, the executive commissioner of the Health and Human
  Services Commission shall adopt rules necessary to implement
  Section 251.033, Health and Safety Code, as added by this Act.
         SECTION 3.  This Act takes effect September 1, 2021.